Thank You Educational Vendors !!!

Pal Learning Education Through Games

Discount Activation Code: AGWT2020

info@pallearning.com

Thank You Vendors !!!

Coastside Comics

Discount Activation Code: 074427813218

https://www.facebook.com/coastsidecomics/

(650) 359-1127

Bay Area Mechanics

Discount Activation Code: AGWT2020

(650) 267-3491

BT World Wide

Discount Activation Code: AGWT2020

(415) 786-1278

Magnate Insurance Services, Inc.

(415) 350-9038

Zak's Auto Collision

Discount Activation Code: AGWT2020
www.zaksautocollision.com
(650) 583-4272

Sunday, March 18, 2018

CLASS/PROGRAM MODIFICATION REQUEST

We encourage and support the participation of individuals with all ability levels in programs and services.  This includes those with disabilities, and in need of reasonable program modifications in order to participate.
I am requesting a reasonable program modification for the class/program(s) listed on this registration form. Please complete the following:

Modification:

Participants Name:

Date:


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